Page 15 - 2020-GAfestival

2020 GA MARTIAL ARTS FESTIVAL

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March 14 , 2020 2020 GA Martial Arts

Mail to: Master Seo’s Top Martial Arts by March 7th, 2020
1024 Riverburch Parkway Dalton, GA 30721

OFFICIAL REFEREE REGISTRATION FORM

ELIGIBILITY: You MUST be at least 16 years of age. Must be a Black Belt or higher.

APPLICANT INFORMATION

Name: ___________________________________ T-Shirt Size: ________________

Phone: ___________________ Male_________ Female_______

D.O.B: ______/______/______ Age: ______________________

Address: _________________________________________________________________

Rank: __________________________ Instructor: ________________________________

Tae Kwon Do School: ______________________________________________________

Dan(Kukkiwon)#: _________________________ Rank/Dan: ___________________________

LIABILITY WAIVER
In consideration of your acceptance of my registration, I do hereby, for my self, heirs, executors and administrators waive, release and
forever discharge any and all rights claims for damages which I may have, or which may accrue to me, against GAMAF and for its state and district
associations, GAMAF, or their respective officers, agents, representatives, successors, and/or assigns, and against any competitors for any and all
damages which may be sustained by me in connection with my association with my participation in or entry in the above athletic meet and compe-
tition, and in connection with any medical service I may be provided in connection with any such injury or illness. I understand that TaeKwonDo
is a body contact sport and I further understand all contents of the 2020 rules and regulations and general information which was published by the
sponsors and I agree with them in their entirety. I further understand that I may be dismissed from the premises without compensation of refund if
my conduct is not courteous and cooperative for the successful operations of the championships.

Signature of Applicant: _______________________________________________ Date: _____/____/_____

Copyright © 2020 GA Martial Arts All rights reserved. 15